| NPI | 1659846137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 16384) |
| 101YP2500X Counselor, Professional (Licence: FL MH16384) | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-03-24 |