| NPI | 1710598891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LPC-7753) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID COUI-7703) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-12-28 |