| NPI | 1205383460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH23153) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2023-12-29 |