| NPI | 1700270048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16952) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12326) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-06-25 |