| NPI | 1659986933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2020033173) |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2024-10-02 |