| NPI | 1801371992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH21035) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 18005) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2024-07-23 |