| NPI | 1962128793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 24211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 21753) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-10-16 |