| NPI | 1235903980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 8116) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |