| NPI | 1063608479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LC50078443) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LC50078443) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2023-10-05 |