| NPI | 1427708874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 04203) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A17448) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-12-08 |