| NPI | 1558118844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8453) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00109113) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-07-14 |