| NPI | 1942889373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 6505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh6505) |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2021-04-08 |