| NPI | 1639676869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IMH16778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IMT2861) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |