| NPI | 1821533589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20127) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2024-04-23 |