| NPI | 1447688387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh12939) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 10496) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2025-04-15 |