| NPI | 1659592053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH5319) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 5319) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-02-29 |