| NPI | 1134701667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6365) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5613) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-06-09 |