| NPI | 1477140366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6791) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R6798) |
| 251B00000X Case Management | |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2022-07-06 |