| NPI | 1275671174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 12269) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 14161) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2025-02-13 |