| NPI | 1255563557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0011357) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2022-01-21 |