| NPI | 1306479019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 3571) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 3571) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |