| NPI | 1346733037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2019006197) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2021-08-11 |