| NPI | 1013259522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 299004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A10039) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2024-06-27 |