| NPI | 1184478901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL ALC04410) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |