| NPI | 1760835862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4374) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2020-12-01 |