| NPI | 1194405878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH25958) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.019234) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-09-13 |