| NPI | 1962094177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8255859-6009) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-09-21 |