| NPI | 1518478759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 20038) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-05-10 |