| NPI | 1720661218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 5492) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC3424) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-01-09 |