| NPI | 1700936671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH-4491) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-06-01 |