| NPI | 1598188286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1578) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 246433) |
| 101YM0800X Counselor, Mental Health (Licence: MS 120) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2020-03-04 |