| NPI | 1952158784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11856) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2735062) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-05-02 |