| NPI | 1366127508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH22498) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 1901) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2023-07-31 |