| NPI | 1053352179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 1276) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5319) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2022-10-20 |