| NPI | 1174841142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000817) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2022-06-07 |