| NPI | 1154980985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T2252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5805) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-08-08 |