| NPI | 1962748392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11631941-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15100) |
| 101YP2500X Counselor, Professional (Licence: UT 11631941-6004) | |
| 101YP2500X Counselor, Professional (Licence: FL MH15100) | |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2023-02-08 |