| NPI | 1962076265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 3504) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19735) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-03-26 |