| NPI | 1528481520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007231) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC1532) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2022-05-28 |