| NPI | 1558101394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH14166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14166) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2025-10-02 |