| NPI | 1689785180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2016011618) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-09-04 |