| NPI | 1144509522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL LMHC 12787) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-06-25 |