| NPI | 1083484034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 9363) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 22953) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |