| NPI | 1548009822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH23800) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH23800) |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-27 |