| NPI | 1013601236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LPC-9596) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID COUI-9582) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-02-07 |