| NPI | 1164960704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15466) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2023-11-02 |