| NPI | 1851921274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8014) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2025-01-27 |