| NPI | 1972588283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7533) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2001004968) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2023-03-06 |