| NPI | 1033414743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11769) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701012345) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2024-03-22 |