| NPI | 1043501729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4963) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11147) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2023-12-05 |