| NPI | 1801134242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13151) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL ADC-012596-2016) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-08-12 |