| NPI | 1619547494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19399) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2303942) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2025-03-25 |