| NPI | 1487412375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6425) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 2439) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |