| NPI | 1821618349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 15164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 15154) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |