| NPI | 1629600887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15261) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC A15261) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-06-11 |