| NPI | 1306421052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020022444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 4671) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2024-09-11 |