| NPI | 1528894623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC A19960) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |