| NPI | 1598282188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7403966-6004) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-12-27 |