| NPI | 1861849994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A10594) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10594) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2019-07-10 |