| NPI | 1619485141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 8415) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R4676) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2022-08-31 |