| NPI | 1659730877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13823) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH13823) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2023-01-06 |