| NPI | 1487151551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13734) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-03-01 |