| NPI | 1588032353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15294) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH15294) |
| 103T00000X Psychologist (Licence: FL MH15294) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-10-09 |