| NPI | 1194534503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 24054) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2024043933) |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |