| NPI | 1114583853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 104176) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 104176) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2024-08-16 |