| NPI | 1417507385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA PLC7967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7967) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2022-03-08 |