| NPI | 1811712599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NC A20549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A20549) |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-25 |