| NPI | 1740047224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH26034) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH23546) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-08-15 |