| NPI | 1184219099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14573) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2022-09-22 |