| NPI | 1235763020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A14734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7335) |
| 101YP2500X Counselor, Professional (Licence: SC 7335) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-07-24 |