| NPI | 1174833024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8549) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2019-02-09 |