| NPI | 1205425998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16267) |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2023-07-09 |