| NPI | 1265917447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99101989A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14329) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2021-05-10 |