| NPI | 1902321532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17588) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-05-31 |