| NPI | 1962856229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24121) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-07-31 |