| NPI | 1770949679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16397) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH16397) |
| 171W00000X Contractor (Licence: FL IMH14347) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2022-08-24 |