| NPI | 1831330430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC15051) |
| 101YM0800X Counselor, Mental Health (Licence: FL SW13359) | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2023-06-08 |