| NPI | 1457469280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21375) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 2049) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-12-20 |