| NPI | 1962952416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13403) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH 13403) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2018-12-10 |