| NPI | 1578348181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6451023174) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-11-29 |