| NPI | 1588296115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 4455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3397a) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-11-01 |