| NPI | 1780107730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0187211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2790) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-10-17 |