| NPI | 1013733559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC24502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 24502) |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |