| NPI | 1134894629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13671) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC 200001189) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-05-20 |