| NPI | 1619510104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH19105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19105) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-04-25 |