| NPI | 1801364229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH18461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17461) |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2018-11-03 |