| NPI | 1124369046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0013423) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2016-08-05 |