| NPI | 1235529553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2090) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-01-08 |