| NPI | 1588357453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC05267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C4014A) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2024-06-04 |