| NPI | 1902407943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 2629) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-02-14 |