| NPI | 1043908734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH21607) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: FL 499545) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |