| NPI | 1407634025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 9864) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 9864) |
| 101YP2500X Counselor, Professional (Licence: ID 9864) | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-12-20 |