| NPI | 1043539315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7557) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2021-07-21 |