| NPI | 1235228131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24107) |
| Additional Taxonomies | 251S00000X (Licence: NC 5269) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-11-15 |