| NPI | 1821650631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 14688) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A14688) |
| 101YM0800X Counselor Mental Health (Licence: NC A14688) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-05-21 |