| NPI | 1720670128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A16341) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A16341) |
| Enumeration Date | 2021-02-07 |
| Last Update Date | 2021-02-09 |