| NPI | 1982919544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13469) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14185) |
| 101YP2500X Counselor, Professional (Licence: VA 0701006175) | |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2024-03-12 |