| NPI | 1912541434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH16775) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH16775) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |