| NPI | 1053580258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9518) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MH9518) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2024-09-26 |