| NPI | 1780286104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017974) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0108728) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2021-01-22 |