| NPI | 1750654133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH15111) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH15111) |
| 101YP2500X Counselor Professional | |
| 251S00000X Community/Behavioral Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2023-05-04 |