| NPI | 1760052237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21043) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-05-03 |