| NPI | 1942589031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004266) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2024-10-04 |