| NPI | 1184818403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011962) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-07-12 |