| NPI | 1750738266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018172) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-08-01 |