| NPI | 1306676499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL ALC04967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH26251) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |