| NPI | 1417789751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A20284) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 697948) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |