| NPI | 1639795511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P226015) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A2006079) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2024-05-23 |