| NPI | 1609432491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 16122) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8452) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-08-25 |