| NPI | 1235002783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24969) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL IMH24969) |
| 101YP2500X Counselor, Professional (Licence: FL IMH24969) | |
| 102L00000X Psychoanalyst (Licence: FL IMH24969) | |
| 103K00000X Behavior Analyst (Licence: FL IMH24969) | |
| 106H00000X Marriage & Family Therapist (Licence: FL IMH24969) | |
| 171400000X Health & Wellness Coach (Licence: FL IMH24969) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |