| NPI | 1750156881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 176B00000X Midwife | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |