| NPI | 1003131145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19746) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10019) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-07-15 |