| NPI | 1740830561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 7945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7212) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2024-03-27 |