| NPI | 1083254338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9092) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A18716) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-01-21 |