| NPI | 1841648441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC11315) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-04-12 |