| NPI | 1003215286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 074108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 8854) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-07-01 |