| NPI | 1366947640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16681) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-12-22 |