| NPI | 1669131637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16958) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9338) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-08-26 |