| NPI | 1366984700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12409A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93090) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2022-05-09 |