| NPI | 1255944526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.010352) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |