| NPI | 1255767497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 19532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0081022) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2024-06-02 |