| NPI | 1376165456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 23291) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2026-07-27 |