| NPI | 1023601754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18837) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL IM18837) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2024-01-03 |