| NPI | 1326653460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH18149) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH18148) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-08-21 |