| NPI | 1770265621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6998-125) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-08-14 |