| NPI | 1639547458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A11897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11897) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-06-24 |