| NPI | 1639729643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT3605) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-11-27 |