| NPI | 1861057572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.012209) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39004278A) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-08-11 |