| NPI | 1760792618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 7212) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY10440) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2019-05-31 |