| NPI | 1689446080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18268) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00639300) | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |