| NPI | 1811471550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8058-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3952-226) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-01-05 |