| NPI | 1639764673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 24253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 20763) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2024-09-12 |