| NPI | 1235294372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 02775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 02519) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2019-10-08 |