| NPI | 1659930642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: HI 838) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11785) |
| 101YM0800X Counselor Mental Health (Licence: NE 5617) | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2023-10-16 |