| NPI | 1750047312 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99128465A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401223648) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-12-13 |