| NPI | 1255661187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9542) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7938) |
| Enumeration Date | 2009-12-25 |
| Last Update Date | 2023-12-03 |