| NPI | 1194864546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2005026034) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-03-12 |