| NPI | 1013282771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002161) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-04-16 |