| NPI | 1780886937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH10607) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 1033) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2022-02-02 |