| NPI | 1023861176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 13197) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NE 13197) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-08-27 |