| NPI | 1376087494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17403) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 128812) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-06-20 |