| NPI | 1356896443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12430) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12430) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-01-03 |