| NPI | 1962036483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5592) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC6499) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2022-01-18 |