| NPI | 1831454107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23425) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA 19309) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2025-06-09 |