| NPI | 1740771666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 163602) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 163602) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2021-09-10 |