| NPI | 1336923408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.009969) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |