| NPI | 1770030819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: LA 6757) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 6757) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-10-21 |