| NPI | 1669946570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA NCC283378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 009861) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-01-08 |