| NPI | 1477769693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 5429) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH5429) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-04-24 |