| NPI | 1083379648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2023035096) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7843) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-07-18 |