| NPI | 1326674706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 161183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-442) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2021-12-21 |