| NPI | 1710410683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL T3359) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |