| NPI | 1801187273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH-9190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9190) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2018-12-08 |