| NPI | 1023512969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15258) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016532) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2021-11-30 |