| NPI | 1235560798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3104) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2020-07-15 |