| NPI | 1699311662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9401) |
| 101YM0800X Counselor, Mental Health (Licence: UT 14205401-6004) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2025-09-11 |