| NPI | 1861007601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH20899) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH19688) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-02-08 |