| NPI | 1831777069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA pc013049) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA pc013049) |
| 101YP2500X Counselor, Professional (Licence: PA pc013049) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-31 |