| NPI | 1881287241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-8287) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2024-03-22 |