| NPI | 1760802060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14899) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11247) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2022-11-15 |