| NPI | 1386071496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL 6401015379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH11713) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2023-12-19 |