| NPI | 1801308416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6695) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6695) |
| 374K00000X | |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2023-12-10 |