| NPI | 1225534019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007503-1) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2019-04-30 |