| NPI | 1093729451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 1067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21404) |
| 101YP2500X Counselor, Professional (Licence: AL 1067) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-07-21 |