| NPI | 1285051474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R3248) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R3248) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2017-04-25 |