| NPI | 1235599135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS 1823) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS 1823) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2019-04-13 |