| NPI | 1295204691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018041063) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2022-07-14 |