| NPI | 1306492285 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 096856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 096856) |
| 374J00000X Doula | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2024-06-03 |