| NPI | 1841070422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22786) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-08-16 |