| NPI | 1285089391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 13601) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NC LCAS22559) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-12-09 |