| NPI | 1831831148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19818) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-06-13 |