| NPI | 1699306258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 8710-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4564-226) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-10-25 |