| NPI | 1598174997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14230) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH 11918) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2023-05-13 |