| NPI | 1235438292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6959) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2024-04-26 |