| NPI | 1114641024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 14484) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-01-30 |