| NPI | 1780173732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 13261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0013261) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2019-03-12 |