| NPI | 1982184610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18406) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH15456) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-08-23 |