| NPI | 1225245483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12683) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-01-18 |