| NPI | 1619635273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20777) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-08-20 |