| NPI | 1932687167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16190) |
| Additional Taxonomies | 101Y00000X Counselor |
| 171400000X Health & Wellness Coach | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2022-10-28 |