| NPI | 1639875719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23627) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-08-13 |