| NPI | 1801495460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 126312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004460A) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-12-02 |