| NPI | 1396388153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 15242) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A15242) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2022-04-19 |