| NPI | 1457131963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP13687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LGP13687) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-04-05 |