| NPI | 1972826741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6849) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2024-11-11 |