| NPI | 1326213489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 3482) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1087) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-11-07 |