| NPI | 1306483367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 15566) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 18569) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2021-10-07 |