| NPI | 1366938847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11243) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A11243) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2021-03-20 |