| NPI | 1548971781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11066) |
| 101YM0800X Counselor, Mental Health (Licence: OR C7487) | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-04-18 |