| NPI | 1376063263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15526) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-09-15 |