| NPI | 1619642519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22040) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IMH18061) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2023-08-24 |