| NPI | 1437458718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 7406) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2022-07-11 |