| NPI | 1285358572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 291274) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI5182) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2024-04-23 |