| NPI | 1598136780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6153) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC6153) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2021-01-26 |