| NPI | 1013117902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 2084) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701006205) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-04-02 |