| NPI | 1932794286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19017) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-05-04 |