| NPI | 1467023424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH19042) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19042) | 
| Enumeration Date | 2021-07-09 | 
| Last Update Date | 2025-06-02 |