| NPI | 1346946357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 2618) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WV 2618) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2024-01-05 |