| NPI | 1750038626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 13962) |
| 101YP2500X Counselor Professional (Licence: AL 4347) | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-04-10 |