| NPI | 1154167534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC Samp-4Jpyoy) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R9983) |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-09-17 |