| NPI | 1710383138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 6213) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 5759) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2020-09-10 |