| NPI | 1295437937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0019695) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-02-03 |