| NPI | 1508452913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20165) |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2023-02-18 |