| NPI | 1457868770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15224) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-09-22 |