| NPI | 1225763501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 88001796A) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.017873) | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-06-14 |