| NPI | 1316682867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 247200000X Technician, Other (Licence: CO RBT-21-160703) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-11-07 |