| NPI | 1558895235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17077) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.012450) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: IA 086529) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-07-18 |