| NPI | 1245857317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6978) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R6294) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-01-27 |