| NPI | 1437461555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19361) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH8575) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2021-11-04 |