| NPI | 1992949374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 12488) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7730) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2022-04-16 |