| NPI | 1265075550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15876) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91031) |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2023-04-10 |