| NPI | 1023482908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007267) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2017-09-21 |