| NPI | 1174625891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5758) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH5758) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-06-12 |