| NPI | 1134787781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19949) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-06-03 |