| NPI | 1942755228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15950) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH 14386) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2020-12-04 |