| NPI | 1114468063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC14885) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC7735) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2021-01-14 |