| NPI | 1477015881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14357) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14357) |
| 251S00000X (Licence: NC 14357) | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2022-10-21 |