| NPI | 1336809318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 8593125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4898226) |
| Enumeration Date | 2021-12-18 |
| Last Update Date | 2023-07-25 |