| NPI | 1124743364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21043) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021279) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-09-30 |