| NPI | 1811403652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8146-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3473-226) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2022-08-10 |