| NPI | 1194115410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 14377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12347) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2024-07-17 |