| NPI | 1982133088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC15264) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC9923) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2019-12-18 |