| NPI | 1083246649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8267A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8267) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |