| NPI | 1497124531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 19406) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH15073) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2024-06-19 |