| NPI | 1518512391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2019029618) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-14 |