| NPI | 1316307325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 14546) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-11-24 |