| NPI | 1336600394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14404) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-12-18 |