| NPI | 1205593670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9297) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7853) |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2024-07-03 |