| NPI | 1780149955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-REN-58203.) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6599) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-04-05 |