| NPI | 1467054858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10761) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC10761) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2021-06-29 |