| NPI | 1013328798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 004845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007584) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-03-21 |