| NPI | 1083232987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0019691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 16457) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-06-12 |