| NPI | 1114357134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SD LPCMH20297) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2024-06-12 |