| NPI | 1134572365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 1491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 004819) |
| Enumeration Date | 2016-07-23 |
| Last Update Date | 2016-07-29 |