| NPI | 1346619152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25672) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6173) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-08-28 |