| NPI | 1144659319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 22298) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9941) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2024-09-11 |