| NPI | 1174038434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15734) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2019-06-28 |