| NPI | 1679188718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16765) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-02-08 |