| NPI | 1083282495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 107964) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.003322) |
| Enumeration Date | 2021-06-12 |
| Last Update Date | 2021-06-12 |