| NPI | 1043670482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 16753) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004556-1) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2022-08-14 |