| NPI | 1750835997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 15040) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-12-11 |