| NPI | 1821689670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17580) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012038140) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |