| NPI | 1376288696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH23285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23285) |
| 225XM0800X Occupational Therapist, Mental Health (Licence: FL MH23285) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-09-16 |