| NPI | 1518137496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8224) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH8224) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2024-06-03 |