| NPI | 1962631945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 4146) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2011-07-18 |