| NPI | 1427697267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C012814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P011886) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-01-31 |