| NPI | 1952942799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10715) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |