| NPI | 1811619356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A18073) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-08-15 |