| NPI | 1285307959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13378764-6004) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2026-03-09 |