| NPI | 1881069532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 7103) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 7103) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2024-03-08 |