| NPI | 1982376810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc02982) |
| 101YP2500X Counselor, Professional (Licence: MN cc02982) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-04-24 |