| NPI | 1548870579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 3853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 18232) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |