| NPI | 1033606769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 13547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2018036210) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2019-08-13 |