| NPI | 1336162460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22969) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY588) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-11-06 |