| NPI | 1598339475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5350) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 799541) |
| 101YM0800X Counselor, Mental Health (Licence: MN 5429) | |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2026-02-18 |