| NPI | 1073148656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7545-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.010034) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |