| NPI | 1467166298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 26197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23031) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2025-07-30 |