| NPI | 1700570652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23809) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2025-04-25 |