| NPI | 1104307180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH24095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.015617) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH24095) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2025-10-21 |