| NPI | 1497356885 |
|---|---|
| Former Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 62730) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 62730) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |