| NPI | 1437867215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2173) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS 2173) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-01-16 |