| NPI | 1417425166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 4061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C2968A) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2019-05-11 |