| NPI | 1487707410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14630) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2024-01-31 |