| NPI | 1790457133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019989.) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-08-08 |