| NPI | 1124269956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 002216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC S10785) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2019-11-20 |