| NPI | 1396269502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0023212) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2026-01-03 |