| NPI | 1154984771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6961) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6961) |
| 101Y00000X Counselor (Licence: SC 6961) | |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |