| NPI | 1508223405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC14499) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC14499) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2020-06-12 |