| NPI | 1578163101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY A16124) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2023-12-06 |