| NPI | 1699591362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD SC2584) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD SC2584) |
| 101YP1600X Counselor Pastoral (Licence: MD SC2584) | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |