| NPI | 1811549629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LCPC9364) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID COUI-7203) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-06-01 |