| NPI | 1043082456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL ALC04155) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-04-12 |