| NPI | 1649931601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7782) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-01-11 |