| NPI | 1750952461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401223629) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401019497) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2023-07-12 |