| NPI | 1932701562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH20303) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 0020485) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-06-04 |