| NPI | 1467051706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2508-125) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |