| NPI | 1942832100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 010117) |
| 101YM0800X Counselor, Mental Health (Licence: NM CTB-2025-0317) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-09-24 |