| NPI | 1982372728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21535) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2025-06-25 |