| NPI | 1407421134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2025009759) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21406) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-03-29 |