| NPI | 1023204732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 3225) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2025-07-14 |