| NPI | 1184264483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16916) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2023-11-13 |