| NPI | 1780158071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW.09927093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009922120) |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2023-05-31 |