| NPI | 1013474253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005600) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |