| NPI | 1568180446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 11378-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5350-226) |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-10-27 |