| NPI | 1265893168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19228) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009527) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2023-06-09 |