| NPI | 1043514581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 8245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 1122) |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2022-11-19 |