| NPI | 1568755742 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 10753)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 10753)  | 
| Enumeration Date | 2011-05-22 | 
| Last Update Date | 2024-10-21 |