| NPI | 1578036273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14445) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2021-05-25 |