| NPI | 1477746766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12150) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 12150) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2024-02-15 |