| NPI | 1760835656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18937) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH18937) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2026-07-06 |