| NPI | 1184433518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2024049248) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2024049248) |
| 101YP2500X Counselor Professional (Licence: MO 2024049248) | |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2024-12-31 |