| NPI | 1033736202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7112) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2021-09-09 |