| NPI | 1164179743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC14829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP12480) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-02-16 |