| NPI | 1366851875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701005890) |
| 101YP2500X Counselor, Professional (Licence: VA 0701005890) | |
| 101YP2500X Counselor, Professional (Licence: FL MH 13166) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2024-04-17 |