| NPI | 1497354625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC LINFO-0LWYS9) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-11-25 |