| NPI | 1902356462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 11691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15462) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2024-09-06 |