| NPI | 1154104164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A18927) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AL ALC04395) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |