| NPI | 1760891121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14456) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 650789152) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2023-12-05 |