| NPI | 1285371336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH23235) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH22210) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-01-31 |