| NPI | 1215345533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 16625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC6248) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2021-08-06 |