| NPI | 1629686811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 971) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 43926) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |