| NPI | 1932675782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL TPMC1516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2016040391) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2022-03-25 |