| NPI | 1154831386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13207) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A13207) |
| 101YM0800X Counselor, Mental Health (Licence: NC A13207) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-05-19 |