| NPI | 1609451350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23994) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8020-125) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-08-26 |