| NPI | 1790312528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2020004854) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2024-10-02 |