| NPI | 1518624683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0057524) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-11-14 |