| NPI | 1184226656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 7548) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7548) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-07-13 |