| NPI | 1679352215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 91153) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-11-18 |