| NPI | 1356752364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10737) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2020-05-18 |