| NPI | 1013202308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 1568) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2024-07-08 |