| NPI | 1407220973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL 3857) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC6643) |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2021-08-16 |