| NPI | 1326541343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC LPC9407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC013545) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2024-05-27 |