| NPI | 1679006696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2017009205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017009205) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2019-03-29 |