| NPI | 1942594999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6196) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OK under supervision) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2021-03-02 |