| NPI | 1629616982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A15441) |
| 101YP2500X Counselor, Professional (Licence: NC A15441) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |