| NPI | 1346711306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14071) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 14071) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-12-19 |