| NPI | 1134630965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 3311-226) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3311) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2020-06-29 |