| NPI | 1457941064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 6401018903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018903) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180012722) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |