| NPI | 1871060624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7207) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2023-06-21 |