| NPI | 1255875019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15459) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2019-05-02 |