| NPI | 1659873677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL IMH15991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17657) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-11-12 |