| NPI | 1083130843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMT2759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17382) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-04-02 |