| NPI | 1144594508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 3882) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2024-06-10 |