| NPI | 1609246107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9899) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-02-27 |