| NPI | 1588068829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11041) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-09-24 |