| NPI | 1962111583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19661) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2025-08-12 |