| NPI | 1750922993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH188-6) |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2023-03-14 |