| NPI | 1902185838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17453) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011009606) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2021-10-08 |