| NPI | 1700459062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135048TELE) |
| 101YM0800X Counselor, Mental Health (Licence: UT 13185741-6004) | |
| 222Q00000X Developmental Therapist (Licence: FL MH19386) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2025-01-09 |