| NPI | 1265931919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A13536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13536) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2024-12-17 |