| NPI | 1780153866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13751) |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2025-08-05 |