| NPI | 1154072007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014348) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2023-01-23 |