| NPI | 1821449661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH1834) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-02-20 |