| NPI | 1942762406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MH17275) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2025-02-21 |