| NPI | 1831649276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: 1853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1853) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-08-21 |