| NPI | 1023129327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC 1142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LAC06091282) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-30 |