| NPI | 1891317392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0019765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC21856) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2024-06-25 |