| NPI | 1073277786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16019) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2023-02-20 |