| NPI | 1497268890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17904) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH15795) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2025-03-26 |