| NPI | 1417153198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00189) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-11-23 |