| NPI | 1598309031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15098) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2022-12-28 |