| NPI | 1003574104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC14627) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC LGPC200001432) |
| 101YM0800X Counselor Mental Health (Licence: SC 9670) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-04-23 |