| NPI | 1366098824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008814) |
| 101YM0800X Counselor, Mental Health (Licence: FL PMH1658) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-05-24 |