| NPI | 1265009161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc01112) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180010690) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-28 |