| NPI | 1205199429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: HI MHC278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: HI MHC-278) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-05-15 |