| NPI | 1720531247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17695) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401015362) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-11-24 |