| NPI | 1023513777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID COUI-6786) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2023-01-05 |