| NPI | 1447714480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14658) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 93111) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH19562) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2024-05-16 |