| NPI | 1598153165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC7333) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2021-03-18 |