| NPI | 1992183529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 11363) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2019-10-16 |