| NPI | 1144782004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13690) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-05-01 |