| NPI | 1700254851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL M13452) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2022-11-18 |