| NPI | 1144810821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 099419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 12066) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |