| NPI | 1144832882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC14034) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC LGPC00795) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2023-11-13 |