| NPI | 1255753281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9869) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S9869) |
| 101YM0800X Counselor, Mental Health (Licence: NC A9869) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2021-04-14 |