| NPI | 1740986900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R9949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23038) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-09-25 |