| NPI | 1124366430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH13815) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ZZ MH13815) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2021-11-23 |