| NPI | 1588303671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24462) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21202) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-12-15 |