| NPI | 1962729822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021761) |
| 101YM0800X Counselor, Mental Health (Licence: NC 21061) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2025-02-05 |