| NPI | 1689407918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26303) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 9781504) |
| 101YM0800X Counselor, Mental Health (Licence: VT 068.0137195TELE) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2026-05-04 |