| NPI | 1457792327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11750) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL MH11750) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2025-11-05 |