| NPI | 1255743050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH12086) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-09-14 |