| NPI | 1770191892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003636A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.012440) |
| 101YP2500X Counselor, Professional (Licence: MI 6401013180) | |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |