| NPI | 1902585961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26276) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-09-02 |