| NPI | 1184176554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 719396) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6217) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2021-09-08 |