| NPI | 1083428932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24803) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-11-20 |