| NPI | 1114216223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2378) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8146) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2018-09-05 |