| NPI | 1013507185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-333) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |