| NPI | 1841838257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0020673) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: 1050021) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-06-24 |