| NPI | 1699590976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009965) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-25 |