| NPI | 1609687219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH26602) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CRC112478) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |