| NPI | 1760266092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022045974) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03908) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2025-01-28 |