| NPI | 1609136555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20107) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2025-12-16 |