| NPI | 1558098962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 23-QMHA-I-004113) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OR 21-QMHA-R1929) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-02-07 |