| NPI | 1619384914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14809) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH12515) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2023-03-09 |