| NPI | 1326628348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225XM0800X Occupational Therapist Mental Health |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |