| NPI | 1285317883 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL G524-729-74-594-0) | 
| Enumeration Date | 2023-08-09 | 
| Last Update Date | 2023-08-09 |