| NPI | 1710588322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18231) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 1116566) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |