| NPI | 1316676356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022032347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 04180) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-03-06 |