| NPI | 1205387479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 20327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6838) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-12-21 |