| NPI | 1316138563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 5914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH-5194) |
| 101YP2500X Counselor, Professional (Licence: FL MH 5914) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-08-03 |