| NPI | 1992708432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6020) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 6020) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2024-02-22 |