| NPI | 1699510321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R9835) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23933) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-09-09 |