| NPI | 1609316967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12636) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12636) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-10-09 |