| NPI | 1255730560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11982) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL MH11982) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2022-09-09 |