| NPI | 1487293387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 19880) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 009525) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2024-05-27 |