| NPI | 1518610922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000001872) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-06-24 |