| NPI | 1275084196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL C2251A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL C2251A) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-03-27 |