| NPI | 1194290502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PR 4481) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PR 1307) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-01-25 |