| NPI | 1053086561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4848-226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10128-125) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2022-11-16 |