| NPI | 1417520693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16604) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16604) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-01-30 |