| NPI | 1205321676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P2505021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701012252) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH14429) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2025-07-31 |