| NPI | 1821467309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14917) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2018-06-19 |