| NPI | 1407334634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14088) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14088) |
| 101YP2500X Counselor, Professional (Licence: NC A14088) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-03-17 |