| NPI | 1255199386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24529) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: FL 410084) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-08-18 |