| NPI | 1467143602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH28694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10007249) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2026-09-28 |