| NPI | 1609379023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16369) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-07-07 |