| NPI | 1417550062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22649) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20394) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-08-16 |