| NPI | 1326661117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC04821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL ALC03659) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-04-27 |