| NPI | 1558865527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: LA 7216) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 10372) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |