| NPI | 1679178040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2135226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 2135-226) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |