| NPI | 1285226647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH19793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1475381) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |