| NPI | 1588809396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9649) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 10128) |
| 101YP2500X Counselor, Professional (Licence: FL MH9649) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2025-04-07 |