| NPI | 1447673546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6575) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2022-06-16 |