| NPI | 1023359874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5440) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2020-11-28 |