| NPI | 1598433807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 9097) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A17097) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2023-11-01 |