| NPI | 1790431468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23427) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19721) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-06-03 |