| NPI | 1639876816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC20730) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC20730) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-12-06 |