| NPI | 1003315797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6739) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-07-05 |