| NPI | 1649686320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11588) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2022-07-21 |