| NPI | 1144884008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2019012168) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2019012168) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-04-20 |