| NPI | 1629681564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH17456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17456) |
| 101YP2500X Counselor, Professional (Licence: LA PLC7472) | |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |