| NPI | 1932638509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID 39935) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID 36787) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-07-11 |