| NPI | 1295189579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12428) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2018-12-31 |