| NPI | 1245728237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12729) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12729) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-06-02 |