| NPI | 1447814447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7939) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-581) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-02-05 |