| NPI | 1912471889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15858) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15858) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-06-26 |