| NPI | 1568717726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8786) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-05-26 |