| NPI | 1396593836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20100) |
| 101YM0800X Counselor, Mental Health (Licence: SC 9652) | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-07-03 |