| NPI | 1164870770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17454) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16326) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2023-03-27 |