| NPI | 1043856909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4989) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL mh4989) |
| 101YP2500X Counselor, Professional (Licence: FL MH4989) | |
| 102L00000X Psychoanalyst (Licence: FL mh4989) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-02-12 |