| NPI | 1639863079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A18726) |
| 101YM0800X Counselor Mental Health (Licence: A18726) | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |