| NPI | 1144995291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 171W00000X Contractor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2023-01-23 |