| NPI | 1285297168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10000632) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-06-26 |