| NPI | 1619609435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH22438) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH20665) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-07-10 |