| NPI | 1609520964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39003397A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8049) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |