| NPI | 1851537302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7719) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2020-10-13 |