| NPI | 1194589234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC20674) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-01-22 |