| NPI | 1003441437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3257) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 03208) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-02-03 |