| NPI | 1154733137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 7601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 6768) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-09-12 |