| NPI | 1669047106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH19177) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MH19177) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |