| NPI | 1942618384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11350) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2019-09-30 |