| NPI | 1801253935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A12118) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12118) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-02-05 |