| NPI | 1164034294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7476) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-09-19 |