| NPI | 1033819677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0136548TELE) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2025-04-04 |