| NPI | 1881138527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01316) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC2996) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.009666) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |