| NPI | 1942976147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 10266) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK LPCCANDIDATE10266) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-01-19 |