| NPI | 1851808448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC010509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007004) |
| 101YM0800X Counselor, Mental Health (Licence: TN 3787) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-11-30 |