| NPI | 1912203571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00499) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2022-11-18 |