| NPI | 1790337285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 17134) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-09-22 |