| NPI | 1427757111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0019722) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: AR 00116889) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |