| NPI | 1235836156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20918) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL MH20918) |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-09-15 |