| NPI | 1619443660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22696) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC8244) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-07-17 |