| NPI | 1750988804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 8557) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8557) |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-12-20 |