| NPI | 1356941942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A1561) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A15611) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2021-05-06 |