| NPI | 1811231061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17398) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2024-10-21 |