| NPI | 1285355792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8158) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |