| NPI | 1013303965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9291) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-06-14 |