| NPI | 1487208237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17500) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-01-04 |