| NPI | 1659934594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14501) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14501) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-11-01 |