| NPI | 1669838660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9264) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2024-04-09 |