| NPI | 1578946448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1247) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL imh12470) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-03-11 |