| NPI | 1619601564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2025002235) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-02-10 |