| NPI | 1689360810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC04843) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-07-27 |