| NPI | 1972134724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 25180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19255) |
| 101YM0800X Counselor, Mental Health (Licence: mh25180) | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2025-02-27 |