| NPI | 1598530149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-64772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-64772) |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-12-08 |