| NPI | 1245849348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 21646) |
| 101YM0800X Counselor, Mental Health (Licence: DC LC50082273) | |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-10-02 |