| NPI | 1134368541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12954) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-6101) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2025-03-24 |