| NPI | 1578990149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11590) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH11590) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-01-27 |