| NPI | 1821567587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 14665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19437) |
| 101YM0800X Counselor, Mental Health (Licence: FL RMCHI17794) | |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2025-04-22 |