| NPI | 1396990107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15819) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3823-125) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2023-02-13 |