| NPI | 1235149394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 06482) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 126721121) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-09-09 |