| NPI | 1295883908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9550) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH 5730) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-05-02 |