| NPI | 1073754982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011590) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2025-01-09 |