| NPI | 1528883618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011775) |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |