| NPI | 1407458706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15886) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-06-12 |