| NPI | 1720467988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23816) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-05-29 |