| NPI | 1598121196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH7358) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL IMH7358) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2025-05-22 |