| NPI | 1306575972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10904-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7004-226) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-03-07 |