| NPI | 1346758042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW36887) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 40713) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-10-01 |