| NPI | 1962207357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12961) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12961) |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |