| NPI | 1487189965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 4109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2694) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-02-08 |