| NPI | 1326450701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 10727) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-07-21 |