| NPI | 1043758261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 18016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 15095) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH16923) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 17731) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2022-04-25 |