| NPI | 1083949523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 13114) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH9977) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2022-12-06 |