| NPI | 1407210065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13894) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-04-23 |