| NPI | 1538704986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK 193135) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AK 150029) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-04-25 |