| NPI | 1043892763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH20730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMT3493) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |