| NPI | 1336863786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23573) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NV CP6068-R) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2025-05-26 |