| NPI | 1629731468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 1586323) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-03-14 |