| NPI | 1669085478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 105306) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-10-14 |