| NPI | 1790564524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0019670) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019670) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-06-25 |