| NPI | 1952076622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18544) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS1539) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |