| NPI | 1063996114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22454) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2026-06-25 |