| NPI | 1992940639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH9954) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2024-05-11 |