| NPI | 1023625217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20075) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2022-12-16 |