| NPI | 1821843822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH26593) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-09-12 |