| NPI | 1003412958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21579) |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2024-04-10 |