| NPI | 1174093892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18992) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-04-27 |