| NPI | 1902111099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PY8015) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8015) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2024-03-22 |