| NPI | 1972186435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH18677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9327337) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |