| NPI | 1356873566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15781) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-07-08 |