| NPI | 1124670500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 174H00000X Health Educator | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-05-19 |