| NPI | 1679210587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11960) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-05-06 |