| NPI | 1962822247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12314) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY11456) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2025-02-10 |