| NPI | 1053860494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10841) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC009203) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2023-03-29 |