| NPI | 1770382202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC6344) |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-03-08 |