| NPI | 1760932115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.012676) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2025-02-28 |