| NPI | 1245601350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0181591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0176881) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2021-05-19 |