| NPI | 1205850021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8602) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY MH001120-1) |
| 101YP2500X Counselor, Professional (Licence: PA PC0000710) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |