| NPI | 1447898630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19638) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL 18309) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2021-09-09 |