| NPI | 1265861462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9778) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2022-10-13 |