| NPI | 1144465790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17801) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004647) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2022-03-15 |