| NPI | 1295395036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7130) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-04-23 |