| NPI | 1821498833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: FL MH18209) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2021-01-25 |