| NPI | 1932818234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 16995) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-07-17 |