| NPI | 1376253799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI LCSW-5039) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW20459) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-10-24 |