| NPI | 1205313491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018025908) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018025908) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2018025908) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-09-28 |