| NPI | 1023757549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17646) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 596518) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-08-19 |