| NPI | 1952143000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 71389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 71389) |
| 101YP2500X Counselor, Professional (Licence: MT 71389) | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |