| NPI | 1598157489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH23154) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 9498105-6004) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-04-18 |