| NPI | 1245722669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VI 1-32843-2B) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VI 2-32843-1L) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2021-09-10 |